| Regimental number | 3104 |
| Place of birth | Windsor Victoria |
| Religion | Church of England |
| Occupation | Decorator |
| Address | State Savings Bank, Elizabeth Street, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs R C Green, c/o Mrs Stapleton, Cleaver Street, West Perth, Western Australia |
| Enlistment date | 16 August 1915 |
| Rank on enlistment | Private |
| Unit name | 24th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/41/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A73 Commonwealth on 26 November 1915 |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | 8th Battalion |
| Fate | Returned to Australia 5 September 1919 |
